OrganizationActive
Ioof Grand Lodge of Colorado
NPI 1073754693 · Assisted Living Facility · Canon City, CO
Provider details
- NPI number
- 1073754693
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Dennis Prather, Executive Director(719) 275-7451
- License
- 23C967 (CO)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1020 N 15th St
Canon City, CO 81212-2344
Phone: (719) 275-7451
Street-level locationGet directions
Mailing address
1545 Phelps Ave
Canon City, CO 81212-4650
Other names (DBA / former)
- Doing business as
- Friendship House at the Home
Registry dates
- Enumerated
- 2009-03-11
- Last updated
- 2009-03-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.